WES RYAN WILTSE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054230

License Status

EXPIRED

Business

Title

First Name

WES

Middle

RYAN

Last Name

WILTSE

Business Name

WES RYAN WILTSE DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

07/19/2011